NICOLAS F M PORTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030234

License Status

EXPIRED

Business

Title

First Name

NICOLAS

Middle

F M

Last Name

PORTA

Business Name

NICOLAS F M PORTA MD

Original Issue Date

06/10/1993

Effective Date

06/10/1993

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006